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Letter of further Evidence Following Insurer's Rejection of Claim - Word & PDF Template Form

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Policy number: ________


Dear Sir/Madam,

RE: Further evidence to support rejected claim

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That loss was incurred on ________ in the following manner:

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Unfortunately, you have rejected my claim on ________.The basis of the claim being rejected was the following:

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I have attached a copy of the initial rejection letter to this letter for your reference.

However, I respectfully refute your decision to reject my claim for the following reasons:

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Since receiving your rejection I have obtained the following evidence which is enclosed and which supports my claim:

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Yours faithfully,




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Fields you complete are inserted into the document live. This template is general guidance only - not legal advice.